Medicare Benefits Customer Care Specialist (IL or IN)

Job Requirements

• Minimum of 2 years’ of recent experience in an insurance call center environment specializing in Medicare Benefits NOT Medicare Advantage.
• Illinois Insurance Producers License for Life and Health Insurance is preferred.
• Experience with Medicare Benefits is required.
• Call center experience is required.
• Excellent telephone skills including proper telephone technique.
• A team player who displays problem-solving and analytical skills.

Job Responsibilities

• Respond to all incoming phone calls related to claim status inquiries from insureds and providers.
• Document brief description of calls on the CAMS and CAPS systems.
• Make outbound calls as needed to support returned checks and resolve claim inquiries.
• Refer claims that were improperly handled to the Claim Supervisor for immediate attention.
• Fulfill claim form requests for plans not administered by our insurance.
• Communicate with insurance carriers or service providers as needed in order to provide feedback on claims administered by carriers.
• Process changes to CAMS System, including personal and coverage information; send confirmation of additions, deletions, and/or any changes to coverage as needed.
• Handle waiver of premium transactions, cancellations due to death, and other claims related transactions.